宫腔镜下子宫内膜电切术治疗子宫内膜息肉的临床疗效

陈秀华 杨彩霞 聂义 刘念 于凌翔 刘晶 汪华生

【摘要】 目的 观察宫腔镜下子宫内膜电切术治疗子宫内膜息肉的临床价值及优越性。方法 100例

子宫内膜息肉患者， 按照手术方式不同分为对照组和观察组， 每组50例。对照组患者采用传统刮宫术治疗， 观察组患者采用宫腔镜下子宫内膜电切术治疗。比较两组患者术中出血量、手术时间、术后住院时间、术后子宫内膜息肉复发及并发症发生情况。结果 观察组患者术中出血量（43.2±8.1）ml少于对照组的（59.6±9.6）ml， 手术时间（35.2±10.1）min及术后住院时间（3.7±0.9）d短于对照组的（49.1±9.2）min、

（5.1±0.6）d， 差异具有统计学意义（P<0.05）。观察组患者术后子宫内膜息肉复发率、并发症发生率分别为4.0%、12.0%， 均显著低于对照组的16.0%、30.0%， 差异具有统计学意义（P<0.05）。结论 对于子宫内膜息肉患者， 宫腔镜下子宫内膜电切术临床效果显著， 同时术后并发症少， 作为一种微创手术， 值得临床推广。

【关键词】 子宫内膜息肉;宫腔镜;电切术;并发症

DOI：10.14163/j.cnki.11-5547/r.2019.27.003

Clinical efficacy of hysteroscopic endometrial resection in the treatment of endometrial polyps   CHEN Xiu-hua， YANG Cai-xia， NIE Yi， et al. Department of Gynecology， Qitai Hospital of the Sixth Division of Xinjiang Production and Construction Corps， Changji 831800， China

【Abstract】 Objective   To observe the clinical value and superiority of hysteroscopic endometrial resection in the treatment of endometrial polyps. Methods   A total of 100 patients with endometrial polyps were divided by different surgical methods into control group and observation group， with 50 cases in each group. The control group was treated with traditional curettage， and the observation group was treated with hysteroscopic endometrial resection. Comparison was made on amount of intraoperative hemorrhage， operation time， postoperative hospitalization time， recurrence of endometrial polyps and complications after operation between the two groups. Results   The amount of intraoperative hemorrhage （43.2±8.1） ml in the observation group was less than （59.6±9.6） ml in the control group， and operation time （35.2±10.1） min and postoperative hospitalization time （3.7±0.9） d were shorter than （49.1±9.2） min and （5.1±0.6） d in the control group. Their difference was statistically significant （P<0.05）. The recurrence rate of endometrial polyps after operation and incidence of complications were 4.0% and 12.0% respectively， which were all significantly lower than 16.0% and 30.0% in the control group， and the difference was statistically significant （P<0.05）. Conclusion   Hysteroscopic endometrial resection shows remarkable clinical effect in patients with endometrial polyps with less complications. It is worthy of clinical promotion as a minimally invasive operation.

【Key words】 Endometrial polyps; Hysteroscopic; Electrotomy; Complications

子宮内膜息肉多发于35～45岁育龄期妇女， 是一种常见的子宫内膜病变。易引起多种并发症如盆腔炎、不孕不育、子宫内膜息肉扭转等， 严重影响患者生活质量及身心